Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1986
NPI: 1043384795
Practice Locations (2)
21992 LORAIN RD
FAIRVIEW PARK, OH 441263333
4403337300
730 SOM CTR RD, SUITE 350
MAYFIELD HTS, OH 441432362
4404600444
Source: CMS National Downloadable File, September 2026.